Basic Information
Provider Information
NPI: 1396156147
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALBERGO
FirstName: CHRISTOPHER
MiddleName: PATRICK
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1272 GARRISON DR
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371292598
CountryCode: US
TelephoneNumber: 6158934480
FaxNumber:  
Practice Location
Address1: 1272 GARRISON DR
Address2:  
City: MURFREESBORO
State: TN
PostalCode: 371292598
CountryCode: US
TelephoneNumber: 6158934480
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/14/2014
LastUpdateDate: 11/30/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/30/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101XMD59123TNY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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